| Tribal- Iguigig Community Health Clinic | |
|
4030 Salmon Way Iguigig AK 99613 | |
| (907) 533-3207 | |
| Not Available |
| Full Name | Tribal- Iguigig Community Health Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4030 Salmon Way, Iguigig, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribal- Iguigig Community Health Clinic Po Box 35198 Seattle WA 98124-5198 | Tribal- Iguigig Community Health Clinic 4030 Salmon Way Iguigig AK 99613 Ph: (907) 533-3207 |
| NPI Number | 1144699216 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144699216 | NPI | - | NPPES |
| 1637735 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |